Drug delivery system with magnetic ring and sensors arranged in a ring pattern

ABSTRACT

A drug delivery system comprises an indicator element and a sensor system. The indicator element is arranged to rotate relative to a reference component and corresponding to a reference axis and comprises a magnetic ring. The sensor system comprises a plurality of magnetometers arranged non-rotational relative to the reference component and adapted to determine continuous magnetic field values from the plurality of dipole magnets, as well as processor means configured to determine on the basis of measured values from the plurality of magnetometers a rotational position and/or a rotational movement of the indicator element.

REFERENCE TO RELATED APPLICATIONS

This application is a continuation of International ApplicationPCT/EP2018/083324 (published as WO 2019/110494), filed Dec. 3, 2018,which claimed priority of European Patent Applications 17205062.7, filedDec. 4, 2017; and 17205063.5, filed Dec. 4, 2017; the contents of allabove-named applications are incorporated herein by reference.

The present invention generally relates to medical systems and devicesfor which the generation, collecting and storing of data are relevant.In specific embodiments the invention relates to systems and devices forcapturing and organizing drug delivery dose data in a reliable anduser-friendly way.

BACKGROUND OF THE INVENTION

In the disclosure of the present invention reference is mostly made todrug delivery devices comprising a threaded piston rod driven by arotating drive member, such devices being used e.g. in the treatment ofdiabetes by delivery of insulin, however, this is only an exemplary useof the present invention.

Drug Injection devices have greatly improved the lives of patients whomust self-administer drugs and biological agents. Drug Injection devicesmay take many forms, including simple disposable devices that are littlemore than an ampoule with an injection means or they may be durabledevices adapted to be used with prefilled cartridges. Regardless oftheir form and type, they have proven to be great aids in assistingpatients to self-administer injectable drugs and biological agents. Theyalso greatly assist care givers in administering injectable medicines tothose incapable of performing self-injections.

A general type of drug delivery devices suitable for delivery of a userset amount of drug comprises a spring which is strained during dosesetting, the stored energy subsequently being used to expel the set doseof drug from a cartridge arranged in the device, this providing what canbe termed an automatic drug delivery device in contrast to a traditionalmanual drug delivery device in which the set dose of drug is expelled bythe user applying an axial force to a proximally extending push button.The user usually strains a spring by rotating a rotatable dose settingmember, the force thereby applied by the user being stored in the springfor later release.

Performing the necessary insulin injection at the right time and in theright size is essential for managing diabetes, i.e. compliance with thespecified insulin regimen is important. In order to make it possible formedical personnel to determine the effectiveness of a prescribed dosagepattern, diabetes patients are encouraged to keep a log of the size andtime of each injection. However, such logs are normally kept inhandwritten notebooks, and the logged information may not be easilyuploaded to a computer for data processing. Furthermore, as only events,which are noted by the patient, are logged, the note book systemrequires that the patient remembers to log each injection, if the loggedinformation is to have any value in the treatment of the patient'sdisease. A missing or erroneous record in the log results in amisleading picture of the injection history and thus a misleading basisfor the medical personnel's decision making with respect to futuremedication. Accordingly, it may be desirable to automate the logging ofinjection information from medication delivery systems.

Though some injection devices integrate this monitoring/acquisitionmechanism into the device itself, e.g. as disclosed in US 2009/0318865and WO 2010/052275, most devices of today are without it. The mostwidely used devices are purely mechanical devices being either durableor prefilled. The latter devices are to be discarded after being emptiedand so inexpensive that it is not cost-effective to build-in electronicdata acquisition functionality in the device it-self. Addressing thisproblem a number of solutions have been proposed which would help a userto generate, collect and distribute data indicative of the use of agiven medical device.

For example, WO 2014/037331 describes in a first embodiment anelectronic supplementary device (also named “add-on module” or “add-ondevice”) adapted to be releasably attached to a drug delivery device ofthe pen type. The device includes a camera and is configured to performoptical character recognition (OCR) on captured images from a rotatingscale drum visible through a dosage window on the drug delivery device,thereby to determine a dose of medicament that has been dialed into thedrug delivery device. WO 2014/037331 also describes a second embodimentof an electronic supplementary device adapted to be releasably attachedto a drug delivery device of the pen type comprising a drive screwextending proximally from the device corresponding to a set dose. Thesupplementary device comprises sensor means for determining axialextension of the drive screw as well as sensor means for detectingoperation of the proximal delivery button. WO 2014/020008 discloses anelectronic supplementary device adapted to be releasably attached to adrug delivery device of the pen type. The device includes a camera andis configured to determine scale drum values based on OCR. To properlydetermine the size of an expelled dose the supplementary device furthercomprises additional electromechanical sensor means to determine whethera dose size is set, corrected or delivered. A further external devicefor a pen device is shown in WO 2014/161952.

WO 2017/013463 discloses an add-on dose control system to be used incombination with a pen-formed drug delivery device, the dose controlsystem being adapted to be mounted on the drug delivery device andcomprising a magnetic component adapted to rotate during use of the drugdelivery device, as well as magnetic detection means adapted to processinformation from the magnetic component in order to determine a set orexpelled dose amount of drug.

US 2006/0175427 discloses a pen-formed drug delivery device providedwith a position sensor comprising a magnetic ring coupled to a settingelement and a number of magnetic switches allowing an angular positionof the magnetic ring to be determined. In an exemplary embodiment arotation of 45 degrees can be detected.

US 2015/0352288 discloses a medical injection system with dose capturingmeans in the form of a magnetic linear encoder comprising a multi-polemagnetic ring and a magnetic sensor in the form of a Hall element.

Having regard to the above, it is an object of the present invention toprovide systems, devices and methods allowing secure, easy and efficientoperation of a drug delivery system, of the automatic type comprising anindicator element and a sensor system adapted for capturing of doserelated data. The system may be in the form of an assembly comprising adrug delivery device and an add-on device adapted to be releasablymounted on the drug delivery device.

DISCLOSURE OF THE INVENTION

In the disclosure of the present invention, embodiments and aspects willbe described which will address one or more of the above objects orwhich will address objects apparent from the below disclosure as well asfrom the description of exemplary embodiments.

Thus, in a first aspect of the invention a drug delivery system isprovided. The system comprises a housing forming a reference component,a drug reservoir or means for receiving a drug reservoir, drug expellingmeans comprising a rotatable dose setting member allowing a user to seta dose amount of drug to be expelled, a release member actuatablebetween a proximal position and a distal position, the proximal positionallowing a dose amount to be set, the distal position allowing the drugexpelling means to expel a set dose, a drive spring arranged to bestrained during dose setting and released by the release member tothereby drive expelling of an amount of drug from the drug reservoir,the drive spring being formed from a magnetisable material, and anindicator element comprising a plurality of dipole magnets and beingadapted to rotate relative to the reference component and correspondingto a reference axis during setting and/or expelling of a dose amount,the amount of rotation being indicative of the size of the set and/orexpelled dose amount. The drug delivery system further comprises asensor system comprising a plurality of magnetometers arrangednon-rotational relative to the reference component and adapted todetermine continuous magnetic field values from the plurality of dipolemagnets (i.e. in response to continuously varying magnetic field valueswithin a specified operational range as input, the magnetometers producea corresponding continuously varying output measurement), and processormeans configured to determine on the basis of measured values from theplurality of magnetometers a rotational position and/or a rotationalmovement of the indicator element, wherein the determined rotationalposition and/or a rotational movement of the indicator elementcorrespond to the set and/or expelled dose amount.

By this arrangement a drug delivery system is provided in which externalas well as internal magnetic disturbances can be cancelled out to alarge extent in a cost-effective and energy-effective way by signalprocessing algorithms based on input from the rotating plurality ofdipole magnets.

In exemplary embodiments the indicator element comprises two, three orfour dipole magnets, e.g. two dipole magnets forming a quadrupoleindicator element, with the processor means being configured todetermine on the basis of measured values from the plurality ofmagnetometers a rotational position of the indicator element with aresolution of at least 18 degrees corresponding to 20 increments for arotational dose setting mechanism, or of at least 15 degreescorresponding to 24 increments for a rotational dose setting mechanism.

The indicator element may be ring-formed and arranged transversely tothe reference axis, and the poles of the dipole magnets may be arrangedcircumferentially equidistantly. The indicator element may be formedfully or partly of a polymeric material containing magnetic particles,the polymeric material having been magnetized to provide the pluralityof dipole magnets.

The drive spring may be in the form of a helical metal torque spring inwhich the coil may be open or fully or partly closed.

In an exemplary embodiment and relative to the reference axis, theplurality of magnetometers is arranged in a proximal position, the drivespring is arranged in a distal position, and the indicator element isarranged in an intermediate position.

At least a portion of the magnetometers may be adapted to measure amagnetic field in the axial as well as a tangential direction.Alternatively, the magnetometers may be in the form of 3-axis “compass”sensors adapted to measure a magnetic field in the axial, tangential aswell as radial direction. The processor means may be configured todetermine a rotational position and/or a rotational movement of theindicator element on the basis of measured values from the plurality ofmagnetometers in the axial and in tangential directions only, i.e. theability to measure a magnetic field in the radial direction is notutilized, this lowering energy consumption and reducing the signalprocessing requirements. This concept is based on the realization thatin a typical drug delivery device the largest degree of slack for arotating indicator member is based on tolerances in the radialdirection.

In an exemplary embodiment the difference between phase angle fromtangential and axial signals can be used as a quality indicator. Whenfor a given exemplary embodiment a difference up to a first thresholdcan be expected due to tolerances on the mechanical and electricalsystem, then if the difference exceeds a second threshold it can betaken as a sign that there is a large disturbance and the measurement isunreliable, this resulting in an error condition being indicated to theuser.

The rotational position and/or a rotational movement of the indicatorelement may be determined using a DFT algorithm.

In an exemplary embodiment the drug delivery system comprises a metallicshield structure circumferentially encasing the plurality ofmagnetometers, the indicator element, and at least a proximal portion ofthe magnetisable drive spring. In a specific embodiment thecircumscribing diameter for the magnetisable drive spring is larger thanthe circumscribing diameter for the indicator element.

In a specific embodiment the above described drug delivery system is inthe form of an assembly comprising a drug delivery device and an add-ondevice adapted to be releasably mounted on the drug delivery device, thedrug delivery device comprising the housing, the drug reservoir or themeans for receiving a drug reservoir, the drug expelling means, therelease member, the drive spring, and the indicator element. The add-ondevice comprises the plurality of magnetometers and the processor means.

In a further aspect of the invention an add-on device adapted to bereleasably mounted on a drug delivery device is provided. The drugdelivery device comprises a housing forming a reference component, adrug reservoir or means for receiving a drug reservoir, drug expellingmeans comprising a rotatable dose setting member allowing a user to seta dose amount of drug to be expelled, a release member actuatablebetween a proximal position and a distal position, the proximal positionallowing a dose amount to be set, the distal position allowing the drugexpelling means to expel a set dose, a drive spring arranged to bestrained during dose setting and released by the release member tothereby drive expelling of an amount of drug from the drug reservoir,the drive spring being formed from a magnetisable material, and anindicator element comprising a plurality of dipole magnets and beingadapted to rotate relative to the reference component and correspondingto a reference axis during setting and/or expelling of a dose amount,the amount of rotation being indicative of the size of the set and/orexpelled dose amount. The add-on device comprises a plurality ofmagnetometers arranged non-rotational relative to the referencecomponent and adapted to determine continuous magnetic field values fromthe plurality of dipole magnets, and processor means configured todetermine on the basis of measured values from the plurality ofmagnetometers a rotational position and/or a rotational movement of theindicator element, wherein the determined rotational position and/or arotational movement of the indicator element correspond to a set and/orexpelled dose amount.

The number of dipole magnets in the drug delivery device may be 2, 3 or4, and the processor means may be configured to determine on the basisof measured values from the plurality of magnetometers a rotationalposition of the indicator element with a resolution of at least 18degrees or at least 15 degrees. The processor means may be configured todetermine a rotational position and/or a rotational movement of theindicator element on the basis of measured values from the plurality ofmagnetometers in the axial and in tangential directions only. The add-ondevice may be additionally be modified as described above for thesystem.

In a further aspect of the invention a drug delivery device adapted tobe used in combination with an add-on device adapted to be releasablymounted thereon is provided. The drug delivery device comprises ahousing forming a reference component, a drug reservoir or means forreceiving a drug reservoir, drug expelling means comprising a rotatabledose setting member allowing a user to set a dose amount of drug to beexpelled, a release member actuatable between a proximal position and adistal position, the proximal position allowing a dose amount to be set,the distal position allowing the drug expelling means to expel a setdose, a drive spring arranged to be strained during dose setting andreleased by the release member to thereby drive expelling of an amountof drug from the drug reservoir, the drive spring being formed from amagnetisable material, and an indicator element comprising a pluralityof dipole magnets and being adapted to rotate relative to the referencecomponent (101, 601) and corresponding to a reference axis duringsetting and/or expelling of a dose amount, the amount of rotation beingindicative of the size of the set and/or expelled dose amount.

The number of dipole magnets may be two, three or four. The indicatorelement may be ring-formed and arranged transversely to the referenceaxis.

In an exemplary embodiment, relative to the reference axis, the drivespring is arranged in a distal position and the indicator element isarranged in a proximal position.

In a yet further aspect of the invention a sensor assembly is providedcomprising a magnetic indicator element and a sensor system, wherein themagnetic indicator element is arranged to rotate relative to a referencecomponent and corresponding to a reference axis. The sensor systemcomprises a plurality of magnetometers arranged non-rotational relativeto the reference component and adapted to determine magnetic fieldvalues from the magnetic indicator element, and processor meansconfigured to determine on the basis of measured values from theplurality of magnetometers a rotational position and/or a rotationalmovement of the magnetic indicator element. The sensor assembly furthercomprises a magnetisable metal component. The plurality of magnetometersis, relative to the reference axis, arranged in a proximal position, themagnetisable metal component is arranged in a distal position, and themagnetic indicator element is arranged in an intermediate position. Thesensor assembly further comprises a metallic shield structurecircumferentially encasing the plurality of magnetometers, the magneticindicator element, and at least a proximal portion of the magnetisablemetal component.

By this arrangement a sensor assembly is provided with a shield whichdoes not only shield the sensor system from external magnetic fields,but also helps divert any unintended internal magnetic field introducedby the magnetisable metal component when magnetized. By reducing thestrength of the disturbing field from the metal component it may enablethe use of fewer sensors and thus lower signal processing requirementsto obtain required accuracy and redundancy, and thereby reduce bothcosts and power consumption.

The circumscribing diameter for the magnetisable metal component may belarger than the circumscribing diameter for the magnetic indicatorelement. In this way the shield will to a higher degree be able toabsorb magnetic lines from a magnetized member than the magneticindicator element.

In an exemplary embodiment the magnetisable metal component is in theform of a helical metal spring. The magnetic indicator element may bering-formed and may comprise a plurality of dipole magnets which may bearranged circumferentially equidistantly.

The rotational position and/or a rotational movement of the magneticindicator element is/are determined using a DFT algorithm.

The metallic shield structure may at least in part be manufactured frommu-metal. In an exemplary embodiment the metallic shield structurecomprises an outer circumferential shield member formed from a firstmetallic material optimized for shielding from external magnetic fields,and an inner circumferential shield member formed from a second metallicmaterial optimized for diverting and guiding inner magnetic fields, e.g.mu-metal.

The magnetic indicator element may be formed fully or partly of apolymeric material containing magnetic particles, the polymeric materialhaving been magnetized to provide the magnetic indicator element or theplurality of dipole magnets. The magnetometers may be 3D compasssensors.

In a further aspect of the invention an add-on device adapted to bereleasably mounted on a drug delivery device is provided. The drugdelivery device comprises a housing having a generally cylindricalproximal portion to which is mounted a rotatable dose setting memberallowing a user to set a dose amount of drug to be expelled. The devicefurther comprises a drug reservoir or means for receiving a drugreservoir, an expelling mechanism adapted to expel a user-set amount ofdrug from a contained cartridge, and a magnetic indicator elementadapted to rotate relative to the housing during dose setting and/orexpelling of a dose amount, the amount of movement being indicative ofthe size of the set and/or expelled dose amount. The add-on devicecomprises a housing comprising a proximal portion and a distal generallycylindrical coupling portion adapted to receive the proximal portion ofthe drug delivery device with the rotatable dose setting member, and asensor system arranged in the proximal portion. The sensor systemcomprises a plurality of magnetometers, and processor means configuredto determine, when the add-on device is mounted on a drug deliverydevice, on the basis of measured values from the plurality ofmagnetometers a rotational position and/or a rotational movement of anindicator element. The add-on device further comprises a metallic shieldstructure circumferentially encasing the plurality of magnetometers andextending distally and circumferentially into the coupling portion, thelatter allowing the shield to help divert magnetic fields introduced bya magnetisable metal component comprised in given drug delivery deviceproximal portion to which the add-on device is attached.

The metallic shield structure may be at least in part manufactured frommu-metal. The shield structure may comprise an outer circumferentialshield member formed from a first metallic material optimized forshielding from external magnetic fields, e.g. from steel, and an innercircumferential shield member formed from a second metallic materialoptimized for diverting and guiding inner magnetic fields, e.g. at leastin part formed from mu-metal.

As used herein, the term “insulin” is meant to encompass anydrug-containing flowable medicine capable of being passed through adelivery means such as a cannula or hollow needle in a controlledmanner, such as a liquid, solution, gel or fine suspension, and whichhas a blood glucose controlling effect, e.g. human insulin and analoguesthereof as well as non-insulins such as GLP-1 and analogues thereof. Inthe description of exemplary embodiments reference will be made to theuse of insulin, however, the described module could also be used tocreate logs for other types of drug, e.g. growth hormone.

BRIEF DESCRIPTION OF THE DRAWINGS

In the following embodiments of the invention will be described withreference to the drawings, wherein

FIG. 1A shows a pen device,

FIG. 1B shows the pen device of FIG. 1A with the pen cap removed,

FIG. 2 shows in an exploded view the components of the pen device ofFIG. 1A,

FIGS. 3A and 3B show in sectional views an expelling mechanism in twostates,

FIGS. 4A and 4B show a schematic representation of an add-on device anda drug delivery device,

FIG. 5 shows in a cross-sectional view an add-on device mounted on thehousing of a drug delivery device,

FIG. 6 shows a further embodiment of add-on device in combination with adrug delivery device,

FIGS. 7A and 7B show cross-sectional views of the add-on device of FIG.6,

FIG. 7C shows in detail the electronic sensor circuitry incorporated inthe add-on device of FIG. 7A,

FIGS. 8A-8D show in sectional views and in different operational statesan assembly comprising the add-on device of FIG. 6 mounted on a drugdelivery device,

FIG. 9 shows individual dipole magnets arranged equidistantly in aring-formed tracer component,

FIG. 10A shows a tracer component manufactured from a magnetisablematerial in combination arranged between individual magnets,

FIG. 10B shows a tracer component manufactured from a magnetisablematerial arranged in a multipolar electromagnetic field,

FIG. 11 shows different embodiments of a sensor system comprisingmagnetometers arranged relative to a tracer component 660M,

FIG. 12A shows angle measurements for a dipole tracer magnet incombination with a first sensor set-up,

FIG. 12B shows angle measurements for a quadrupole tracer magnet incombination with a second sensor set-up,

FIG. 13 shows signals from a quadrupole magnet over one full revolutionof the magnet,

FIG. 14 shows a map of the frequency components of the signal from FIG.13,

FIG. 15 shows an assembly of a quadrupole magnet and 7 magnetometers,

FIG. 16 shows a further embodiment of add-on device mounted on a drugdelivery device, and

FIG. 17 shows a yet further embodiment of add-on device mounted on adrug delivery device.

In the figures like structures are mainly identified by like referencenumerals.

DESCRIPTION OF EXEMPLARY EMBODIMENTS

When in the following terms such as “upper” and “lower”, “right” and“left”, “horizontal” and “vertical” or similar relative expressions areused, these only refer to the appended figures and not necessarily to anactual situation of use. The shown figures are schematic representationsfor which reason the configuration of the different structures as wellas their relative dimensions are intended to serve illustrative purposesonly. When the term member or element is used for a given component itgenerally indicates that in the described embodiment the component is aunitary component, however, the same member or element may alternativelycomprise a number of sub-components just as two or more of the describedcomponents could be provided as unitary components, e.g. manufactured asa single injection moulded part. The term “assembly” does not imply thatthe described components necessarily can be assembled to provide aunitary or functional assembly during a given assembly procedure but ismerely used to describe components grouped together as beingfunctionally more closely related.

Before turning to embodiments of the present invention per se, anexample of a prefilled drug delivery will be described, such a deviceproviding the basis for the exemplary embodiments of the presentinvention. Although the pen-formed drug delivery device 100 shown inFIGS. 1-3 may represent a “generic” drug delivery device, the actuallyshown device is a FlexTouch® prefilled drug delivery pen as manufacturedand sold by Novo Nordisk A/S, Bagsværd, Denmark.

The pen device 100 comprises a cap part 107 and a main part having aproximal body or drive assembly portion with a housing 101 in which adrug expelling mechanism is arranged or integrated, and a distalcartridge holder portion in which a drug-filled transparent cartridge113 with a distal needle-penetrable septum is arranged and retained inplace by a non-removable cartridge holder attached to the proximalportion, the cartridge holder having openings allowing a portion of thecartridge to be inspected as well as distal coupling means 115 allowinga needle assembly to be releasably mounted. The cartridge is providedwith a piston driven by a piston rod forming part of the expellingmechanism and may for example contain an insulin, GLP-1 or growthhormone formulation. A proximal-most rotatable dose setting member 180with a number of axially oriented grooves 182 serves to manually set adesired dose of drug shown in display window 102 and which can then beexpelled when the button 190 is actuated. The window is in the form ofan opening in the housing surrounded by a chamfered edge portion 109 anda dose pointer 109P, the window allowing a portion of a helicallyrotatable indicator member 170 (scale drum) to be observed. Depending onthe type of expelling mechanism embodied in the drug delivery device,the expelling mechanism may comprise a spring as in the shown embodimentwhich is strained during dose setting and then released to drive thepiston rod when the release button is actuated. Alternatively theexpelling mechanism may be fully manual in which case the dose memberand the actuation button moves proximally during dose settingcorresponding to the set dose size, and then is moved distally by theuser to expel the set dose, e.g. as in a FlexPen® manufactured and soldby Novo Nordisk A/S.

Although FIG. 1 shows a drug delivery device of the prefilled type, i.e.it is supplied with a pre-mounted cartridge and is to be discarded whenthe cartridge has been emptied, in alternative embodiments the drugdelivery device may be designed to allow a loaded cartridge to bereplaced, e.g. in the form of a “rear-loaded” drug delivery device inwhich the cartridge holder is adapted to be removed from the device mainportion, or alternatively in the form of a “front-loaded” device inwhich a cartridge is inserted through a distal opening in the cartridgeholder which is non-removable attached to the main part of the device.

As the invention relates to electronic circuitry adapted to interactwith a drug delivery device, an exemplary embodiment of such a devicewill be described for better understanding of the invention.

FIG. 2 shows an exploded view of the pen-formed drug delivery device 100shown in FIG. 1. More specifically, the pen comprises a tubular housing101 with a window opening 102 and onto which a cartridge holder 110 isfixedly mounted, a drug-filled cartridge 113 being arranged in thecartridge holder. The cartridge holder is provided with distal couplingmeans 115 allowing a needle assembly 116 to be releasable mounted,proximal coupling means in the form of two opposed protrusions 111allowing a cap 107 to be releasable mounted covering the cartridgeholder and a mounted needle assembly, as well as a protrusion 112preventing the pen from rolling on e.g. a table top. In the housingdistal end a nut element 125 is fixedly mounted, the nut elementcomprising a central threaded bore 126, and in the housing proximal enda spring base member 108 with a central opening is fixedly mounted. Adrive system comprises a threaded piston rod 120 having two opposedlongitudinal grooves and being received in the nut element threadedbore, a ring-formed piston rod drive element 130 rotationally arrangedin the housing, and a ring-formed clutch element 140 which is inrotational engagement with the drive element (see below), the engagementallowing axial movement of the clutch element. The clutch element isprovided with outer spline elements 141 adapted to engage correspondingsplines 104 (see FIG. 3B) on the housing inner surface, this allowingthe clutch element to be moved between a rotationally locked proximalposition, in which the splines are in engagement, and a rotationallyfree distal position in which the splines are out of engagement. As justmentioned, in both positions the clutch element is rotationally lockedto the drive element. The drive element comprises a central bore withtwo opposed protrusions 131 in engagement with the grooves on the pistonrod whereby rotation of the drive element results in rotation andthereby distal axial movement of the piston rod due to the threadedengagement between the piston rod and the nut element. The drive elementfurther comprises a pair of opposed circumferentially extending flexibleratchet arms 135 adapted to engage corresponding ratchet teeth 105arranged on the housing inner surface. The drive element and the clutchelement comprise cooperating coupling structures rotationally lockingthem together but allowing the clutch element to be moved axially, thisallowing the clutch element to be moved axially to its distal positionin which it is allowed to rotate, thereby transmitting rotationalmovement from the dial system (see below) to the drive system. Theinteraction between the clutch element, the drive element and thehousing will be shown and described in greater detail with reference toFIGS. 3A and 3B.

On the piston rod an end-of-content (EOC) member 128 is threadedlymounted and on the distal end a washer 127 is rotationally mounted. TheEOC member comprises a pair of opposed radial projections 129 forengagement with the reset tube (see below).

The dial system comprises a ratchet tube 150, a reset tube 160, a scaledrum 170 with an outer helically arranged pattern forming a row of doseindicia, a user-operated dial member 180 for setting a dose of drug tobe expelled, a release button 190 and a torque spring 155 (see FIG. 3).The dial member is provided with a circumferential inner teeth structure181 engaging a number of corresponding outer teeth 161 arranged on thereset tube, this providing a dial coupling which is in an engaged statewhen the reset tube is in a proximal position during dose setting and ina disengaged state when the reset tube is moved distally duringexpelling of a dose. The reset tube is mounted axially locked inside theratchet tube but is allowed to rotate a few degrees (see below). Thereset tube comprises on its inner surface two opposed longitudinalgrooves 169 adapted to engage the radial projections 129 of the EOCmember, whereby the EOC can be rotated by the reset tube but is allowedto move axially. The clutch element is mounted axially locked on theouter distal end portion of the ratchet tube 150, this providing thatthe ratchet tube can be moved axially in and out of rotationalengagement with the housing via the clutch element. The dial member 180is mounted axially locked but rotationally free on the housing proximalend, the dial ring being under normal operation rotationally locked tothe reset tube (see below), whereby rotation of the dial ring results ina corresponding rotation of the reset tube 160 and thereby the ratchettube. The release button 190 is axially locked to the reset tube but isfree to rotate. A return spring 195 provides a proximally directed forceon the button and the thereto mounted reset tube. The scale drum 170 isarranged in the circumferential space between the ratchet tube and thehousing, the drum being rotationally locked to the ratchet tube viacooperating longitudinal splines 151, 171 and being in rotationalthreaded engagement with the inner surface of the housing viacooperating thread structures 103, 173, whereby the row of numeralspasses the window opening 102 in the housing when the drum is rotatedrelative to the housing by the ratchet tube. The torque spring isarranged in the circumferential space between the ratchet tube and thereset tube and is at its proximal end secured to the spring base member108 and at its distal end to the ratchet tube, whereby the spring isstrained when the ratchet tube is rotated relative to the housing byrotation of the dial member. A ratchet mechanism with a flexible ratchetarm 152 is provided between the ratchet tube and the clutch element, thelatter being provided with an inner circumferential teeth structures142, each tooth providing a ratchet stop such that the ratchet tube isheld in the position to which it is rotated by a user via the reset tubewhen a dose is set. In order to allow a set dose to be reduced a ratchetrelease mechanism 162 is provided on the reset tube and acting on theratchet tube, this allowing a set dose to be reduced by one or moreratchet increments by turning the dial member in the opposite direction,the release mechanism being actuated when the reset tube is rotated theabove-described few degrees relative to the ratchet tube.

Having described the different components of the expelling mechanism andtheir functional relationship, operation of the mechanism will bedescribed next with reference mainly to FIGS. 3A and 3B.

The pen mechanism can be considered as two interacting systems, a dosesystem and a dial system, this as described above. During dose settingthe dial mechanism rotates and the torsion spring is loaded. The dosemechanism is locked to the housing and cannot move. When the push buttonis pushed down, the dose mechanism is released from the housing and dueto the engagement to the dial system, the torsion spring will now rotateback the dial system to the starting point and rotate the dose systemalong with it.

The central part of the dose mechanism is the piston rod 120, the actualdisplacement of the plunger being performed by the piston rod. Duringdose delivery, the piston rod is rotated by the drive element 130 anddue to the threaded interaction with the nut element 125 which is fixedto the housing, the piston rod moves forward in the distal direction.Between the rubber piston and the piston rod, the piston washer 127 isplaced which serves as an axial bearing for the rotating piston rod andevens out the pressure on the rubber piston. As the piston rod has anon-circular cross section where the piston rod drive element engageswith the piston rod, the drive element is locked rotationally to thepiston rod, but free to move along the piston rod axis. Consequently,rotation of the drive element results in a linear forwards movement ofthe piston. The drive element is provided with small ratchet arms 134which prevent the drive element from rotating clockwise (seen from thepush button end). Due to the engagement with the drive element, thepiston rod can thus only move forwards. During dose delivery, the driveelement rotates anti-clockwise and the ratchet arms 135 provide the userwith small clicks due to the engagement with the ratchet teeth 105, e.g.one click per unit of insulin expelled.

Turning to the dial system, the dose is set and reset by turning thedial member 180. When turning the dial, the reset tube 160, the EOCmember 128, the ratchet tube 150 and the scale drum 170 all turn with itdue to the dial coupling being in the engaged state. As the ratchet tubeis connected to the distal end of the torque spring 155, the spring isloaded. During dose setting, the arm 152 of the ratchet performs a dialclick for each unit dialed due to the interaction with the inner teethstructure 142 of the clutch element. In the shown embodiment the clutchelement is provided with 24 ratchet stops providing 24 clicks(increments) for a full 360 degrees rotation relative to the housing.The spring is preloaded during assembly which enables the mechanism todeliver both small and large doses within an acceptable speed interval.As the scale drum is rotationally engaged with the ratchet tube, butmovable in the axial direction and the scale drum is in threadedengagement with the housing, the scale drum will move in a helicalpattern when the dial system is turned, the number corresponding to theset dose being shown in the housing window 102.

The ratchet 152, 142 between the ratchet tube and the clutch element 140prevents the spring from turning back the parts. During resetting, thereset tube moves the ratchet arm 152, thereby releasing the ratchetclick by click, one click corresponding to one unit IU of insulin in thedescribed embodiment. More specifically, when the dial member is turnedclockwise, the reset tube simply rotates the ratchet tube allowing thearm of the ratchet to freely interact with the teeth structures 142 inthe clutch element. When the dial member is turned counter-clockwise,the reset tube interacts directly with the ratchet click arm forcing theclick arm towards the centre of the pen away from the teeth in theclutch, thus allowing the click arm on the ratchet to move “one click”backwards due to torque caused by the loaded spring.

To deliver a set dose, the push button 190 is pushed in the distaldirection by the user as shown in FIG. 3B. The dial coupling 161, 181disengages and the reset tube 160 decouples from the dial member andsubsequently the clutch element 140 disengages the housing splines 104.Now the dial mechanism returns to “zero” together with the drive element130, this leading to a dose of drug being expelled. It is possible tostop and start a dose at any time by releasing or pushing the pushbutton at any time during drug delivery. A dose of less than 5 IUnormally cannot be paused, since the rubber piston is compressed veryquickly leading to a compression of the rubber piston and subsequentlydelivery of insulin when the piston returns to the original dimensions.

The EOC feature prevents the user from setting a larger dose than leftin the cartridge. The EOC member 128 is rotationally locked to the resettube, which makes the EOC member rotate during dose setting, resettingand dose delivery, during which it can be moved axially back and forthfollowing the thread of the piston rod. When it reaches the proximal endof the piston rod a stop is provided, this preventing all the connectedparts, including the dial member, from being rotated further in the dosesetting direction, i.e. the now set dose corresponds to the remainingdrug content in the cartridge.

The scale drum 170 is provided with a distal stop surface 174 adapted toengage a corresponding stop surface on the housing inner surface, thisproviding a maximum dose stop for the scale drum preventing all theconnected parts, including the dial member, from being rotated furtherin the dose setting direction. In the shown embodiment the maximum doseis set to 80 IU. Correspondingly, the scale drum is provided with aproximal stop surface adapted to engage a corresponding stop surface onthe spring base member, this preventing all the connected parts,including the dial member, from being rotated further in the doseexpelling direction, thereby providing a “zero” stop for the entireexpelling mechanism.

To prevent accidental over-dosage in case something should fail in thedialing mechanism allowing the scale drum to move beyond itszero-position, the EOC member serves to provide a security system. Morespecifically, in an initial state with a full cartridge the EOC memberis positioned in a distal-most axial position in contact with the driveelement. After a given dose has been expelled the EOC member will againbe positioned in contact with the drive element. Correspondingly, theEOC member will lock against the drive element in case the mechanismtries to deliver a dose beyond the zero-position. Due to tolerances andflexibility of the different parts of the mechanism the EOC will travela short distance allowing a small “over dose” of drug to be expelled,e.g. 3-5 IU of insulin.

The expelling mechanism further comprises an end-of-dose (EOD) clickfeature providing a distinct feedback at the end of an expelled doseinforming the user that the full amount of drug has been expelled. Morespecifically, the EOD function is made by the interaction between thespring base and the scale drum. When the scale drum returns to zero, asmall click arm 106 on the spring base is forced backwards by theprogressing scale drum. Just before “zero” the arm is released and thearm hits a countersunk surface on the scale drum.

The shown mechanism is further provided with a torque limiter in orderto protect the mechanism from overload applied by the user via the dialmember. This feature is provided by the interface between the dialmember and the reset tube which as described above are rotationallylocked to each other. More specifically, the dial member is providedwith circumferential inner teeth structure 181 engaging a number ofcorresponding outer teeth 161, the latter being arranged on a flexiblecarrier portion of the reset tube. The reset tube teeth are designed totransmit a torque of a given specified maximum size, e.g. 150-300 Nmm,above which the flexible carrier portion and the teeth will bend inwardsand make the dial member turn without rotating the rest of the dialmechanism. Thus, the mechanism inside the pen cannot be stressed at ahigher load than the torque limiter transmits through the teeth.

Having described the working principles of a mechanical drug deliverydevice, embodiments of the present invention will be described.

FIGS. 4A and 4B show a schematic representation of a first assembly of apre-filled pen-formed drug delivery device 200 and a therefor adaptedadd-on dose logging device 300. The add-on device is adapted to bemounted on the proximal end portion of the pen device housing and isprovided with dose setting and dose release means 380 covering thecorresponding means on the pen device in a mounted state as shown inFIG. 4B. In the shown embodiment the add-on device comprises a couplingportion 385 adapted to be mounted axially and rotationally locked on thedrug delivery housing. The add-on device comprises a rotatable dosesetting member 380 which during dose setting is directly or indirectlycoupled to the pen dose setting member 280 such that rotational movementof the add-on dose setting member in either direction is transferred tothe pen dose setting member. In order to reduce influences from theoutside during dose expelling and dose size determination, the outeradd-on dose setting member 380 may be rotationally decoupled from thepen dose setting member 280 during dose expelling as will be describedin greater detail with reference to the FIG. 5 embodiment. The add-ondevice further comprises a dose release member 390 which can be moveddistally to thereby actuate the pen release member 290. As will bedescribed in greater detail below with reference to FIG. 5 the add-ondose setting member gripped and rotated by the user may be attacheddirectly to the pen housing in rotational engagement therewith.

Alternatively, the shown configuration may be adapted to serve primarilyas an aid for people with impaired dexterity to set and release a doseof drug and thus dispense with any dose sensing and dose loggingfunctionality. For such a configuration it is less important that theouter add-on dose setting member is rotationally decoupled from the pendose setting member 280 during expelling of a dose. Correspondingly, theouter add-on dose setting member may be in permanent rotationalengagement with the pen dose setting member 280.

Turning to FIG. 5 a first exemplary embodiment of an add-on dose loggingdevice 400 adapted to be mounted on a pen-formed drug delivery device100 will be described in greater detail. The drug delivery deviceessentially corresponds to the drug delivery device described withreference to FIGS. 1-3 and thus comprises a housing 101, a rotatabledose setting member 180 allowing a user to set a dose amount of drug tobe expelled, a release member 190 actuatable between a proximal dosesetting position and a distal dose release position, a scale drum 170 aswell as a reset tube 160. In order to cooperate with the add-on loggingdevice the drug delivery device has been modified to comprise agenerally ring-formed tracer magnet 160M attached to or formedintegrally with the reset tube proximal end, the magnet serving as anindicator rotating during expelling of a dose amount, the amount ofrotational movement being indicative of the size of the expelled doseamount. Further, the housing has been provided with a circumferentialgroove 101G just distally of the dose setting member serving as acoupling means for the add-on device.

The add-on device comprises an outer assembly 410 releasably attachableto the drug delivery device housing as well as an inner assembly 480.The inner and outer assemblies are rotationally locked to each otherduring dose setting, but rotationally de-coupled from each other duringdose expelling. The shown embodiment is based on an experimentalprototype for which reason some of the structures are formed from anumber of assembled parts.

The outer assembly 410 comprises a generally cylindrical housing member411 defining a general axis for the add-on device and serving as anadd-on dose setting member, distally arranged coupling means 415 adaptedto engage the coupling groove 101G of the pen housing, and a proximallyarranged dose release member 490 coupled to the housing member 411 andaxially moveable between an initial proximal position and an actuateddistal position. In the shown embodiment the coupling means 415 is inthe form of a number of spring-biased coupling members adapted to bereleasable received in the housing groove 101G by snap action when theadd-on device is slid over the proximal end of the drug delivery device100, the coupling means thereby axially locking the add-on device to thepen device. The coupling means may be released by e.g. a pulling actionor by actuation of a release mechanism. The housing comprises in theproximal portion an inner circumferential flange 412 and a number ofaxially oriented control grooves 413. The dose release member 490comprises a number of peripherally arranged axially oriented flanges 493received in the control grooves 413, the grooves providing a proximalstop against which the dose release member is biased by a first returnspring 418 supported between the housing flange 412 and the dose releasemember 490. The dose release member comprises an inner cylindrical skirtportion 492 with a distal inner flange portion 494, the inner flangeportion comprising a distal circumferential lip 495 and a proximal arrayof axially oriented locking splines 496.

The inner assembly 480 comprises an inner housing 481 and a thereinarranged axially moveable sensor assembly 460. The inner housingcomprises a proximal wall portion 482 from which a hollow transmissiontube 483 extends proximally, an inner circumferential flange portion 484serving as support for a second biasing spring 488, and a distallyextending circumferential skirt portion 487 provided with a number ofaxially oriented inner projections adapted to be received in the pendose setting member grooves 182 (see FIG. 1A) to thereby rotationallylock the two members to each other, the engagement allowing some axialplay during mounting and operation of the add-on device. The hollow tube483 comprises at the proximal end a disc-formed portion having adistally facing stop surface adapted to engage the circumferential lip495 and a circumferential array of axially oriented splines 486 adaptedto engage the locking splines 496 on the dose release member 490 tothereby rotationally lock the inner assembly to the dose release memberand thus the outer assembly.

The sensor assembly 460 comprises a sensor portion and a proximallyextending actuation rod portion 462. The sensor portion comprises agenerally cylindrical sensor housing 461 in which the electroniccircuitry 465 is arranged (shown schematically in FIG. 5). The sensorhousing comprises a distal actuation surface adapted to engage the penactuation member 190. In the initial dose setting mode (i.e. with thedose release member 490 in the initial proximal position) the sensorhousing is biased proximally by the second bias spring 488 intoengagement with the inner housing proximal wall portion 482 and with theactuation rod 462 extending from the transmission tube 483 into theinterior of the dose release member 490, an axial gap being formedbetween the proximal end 463 of the actuation rod and an inner actuationsurface of the dose release member.

The electronic circuitry 465 comprises electronic components includingprocessors means, one or more sensors, one or more switches, wirelesstransmitter/receiver means and an energy source. The sensors compriseone or more magnetometers adapted to measure a magnetic field generatedby the pen tracer magnet 160M, this allowing rotational movement of thepen reset tube and thus the size of an expelled dose to be determined,see e.g. WO 2014/161952. Further sensor means may be provided allowingthe type of the device to be recognized, e.g. a light emitter and acolour sensor adapted to determine the colour of the pen release member,the colour serving as an identifier for the drug type contained in theprefilled pen device. The processor means may be in the form of ageneric microprocessor or an ASIC, non-volatile program memory such as aROM providing storage for embedded program code, writable memory such asflash memory and/or RAM for data, and a controller for thetransmitter/receiver.

In a situation of use with the add-on device 400 mounted on the pen drugdelivery device 100 as shown in FIG. 5, the user starts setting adesired dose by rotating the housing member 411 (i.e. the add-on dosesetting member) and with that also the dose release member 490. Duringdose setting the dose release member is biased towards its initialproximal position whereby it is rotationally locked to the innerassembly 480 via the locking splines 486, 496, this allowing therotational movement of the add-on dose setting member to be transferredto the inner housing 461 and thus the pen dose setting member 180.

When a dose has been set the user will actuate the dose release member490 by moving it distally against the force of the first bias spring418. During the initial release movement the locking splines 486, 496will disengage, this rotationally de-coupling the inner assembly 480from the dose release member and thus from the add-on dose settinghousing member 411. During the further release movement the dose releasemember 490 engages the actuation rod proximal end 463 whereby the sensorassembly 460 during the further release movement will be moved distallytowards the pen dose release member 190 and subsequently into contactwith the pen release member. The engaging surfaces of the actuation rod462 and the add-on dose release member 490 are optimized for minimaltransfer of rotational movement. Finally, further distal movement of theadd-on release member 490 will result in actuation of the pen releasemember 190 and thereby expelling of the set dose, the sensor assembly460 thereby serving as an actuator.

In order to determine the size of an expelled dose the amount ofrotation of the tracer magnet 160M and thus the reset tube 160 isdetermined. More specifically, initial movement of the sensor assemblywill activate a sensor switch (not shown) which in turn will activatethe sensor electronics 465 and start sampling of data from themagnetometers, this allowing a rotational start position of the tracermagnet 160M to be determined prior to release of the expellingmechanism. During this period also the colour of the pen release memberand thus the type of drug contained in the cartridge may be determined.As the reset tube may rotate more than 360 degrees during expelling of adose of drug, rotational movement during expelling will be detected andthe number of full rotations (if any) determined. When it is detectedthat rotation of the reset tube has stopped, e.g. when a set dose hasbeen fully expelled or when out-dosing is paused by the user, arotational end position will be determined, this allowing the size of anexpelled dose to be determined. Alternatively, the rotational endposition may be determined when the sensor switch detects that thesensor assembly 460 has returned to its initial position.

As appears, due to the rotational un-coupling of the inner assembly 460from the outer assembly 480 during drug expelling, it is prevented to ahigh degree that movements of the outer parts of the add-on device willnegatively influence the precise determination of rotational movementand rotational positions of the reset tube 160.

The determined dose size will be stored together with a time stamp and,if detected, a drug type identifier in a log memory. The content of thelog memory may then be transmitted by NFC, Bluetooth® or other wirelessmeans to an external device, e.g. a smartphone, which has been pairedwith the add-on logging device. An example of a suitable pairing processis described in EP application 17178059.6 which is hereby incorporatedby reference.

Turning to FIG. 6 a second exemplary embodiment of an add-on doselogging device 700 adapted to be mounted on a pen-formed drug deliverydevice 600 will be described in greater detail. The drug delivery deviceessentially corresponds to the drug delivery devices described withreference to FIGS. 1-3 and thus comprises a housing 601, a rotatabledose setting member 680 allowing a user to set a dose amount of drug tobe expelled, a release member 690 actuatable between a proximal dosesetting position and a distal dose release position, a scale drum 670 aswell as a reset tube 660. In order to cooperate with the add-on loggingdevice 700 the drug delivery device has been modified to comprise agenerally ring-formed magnet 660M attached to or formed integrally withthe reset tube proximal end, the magnet serving as an indicator rotatingduring expelling of a dose amount, the amount of rotational movementbeing indicative of the size of the expelled dose amount. Further, thehousing has been provided with a number of protrusions 601P justdistally of the dose setting member serving as a coupling means for theadd-on device. In the shown embodiment three coupling protrusions arelocated equidistantly on the housing.

The add-on device 700 comprises an outer assembly 710 releasablyattachable to the drug delivery device housing as well as an innerassembly (see below). The outer assembly 710 comprises a generallycylindrical distal coupling portion 719 (as in the embodiment of FIG.4A) defining a general axis for the add-on device and being adapted tobe mounted axially and rotationally locked on the drug delivery housingby means of a number of bayonet coupling structures 715 adapted toengage the corresponding coupling protrusions 601P on the pen housingand releasably snap into engagement. The add-on device further comprisesa proximal dose setting member 711 mounted freely rotatable on thecoupling portion and which like in the embodiment of FIG. 5 is coupledto the pen dose setting member 680 such that rotational movement of theadd-on dose setting member 711 in either direction is transferred to thepen dose setting member. The add-on device further comprises a doserelease member 790 which during dose setting rotates with the dosesetting member. A first biasing spring 718 supported on an innercircumferential flange 712 on the dose setting member provides aproximally directed biasing force on the dose release member. As in theembodiment of FIG. 5 the inner and outer assemblies are rotationallylocked to each other during dose setting, but rotationally de-coupledfrom each other during dose expelling.

The inner assembly 780 generally corresponds to the inner assembly 480of the FIG. 5 embodiments and thus generally comprises the samestructures providing the same functionality. Correspondingly, the innerassembly comprises (see FIG. 7A) inner housing 781 and a thereinarranged axially moveable sensor assembly 760. The inner housingcomprises a proximal wall portion 782 from which a hollow transmissiontube structure 783 extends proximally, a distal inner circumferentialflange portion 784 serving as support for a second biasing spring 788,and a distally extending circumferential skirt portion 787 adapted toengage the pen dose setting member grooves 682 (see FIG. 6) to therebyrotationally lock the two members to each other, the engagement allowingsome axial play during mounting and operation of the add-on device. Thehollow tube 783 comprises at the proximal end a number of flangeportions 786 having distally facing stop surfaces adapted to engage acircumferential inner flange 795 of the dose release member 790, as wellas a number of axially oriented splines adapted to engage the lockingsplines 796 on the dose release member 790 to thereby rotationally lockthe inner assembly to the dose release member and thus the outerassembly.

The sensor assembly 760 comprises a sensor portion and a proximallyextending actuation rod portion 762. The sensor portion comprises agenerally cylindrical sensor housing 761 in which the electroniccircuitry 765 (see below) is arranged. The sensor housing comprises adistal spacer cap 764 covering the magnet sensors and being adapted toengage the pen actuation member 690. In the initial dose setting mode(i.e. with the dose release member 790 in the initial proximal position)the sensor housing is biased proximally by the second bias spring 788into engagement with the inner housing proximal wall portion 782 andwith the actuation rod 762 extending from the transmission tube 783 intothe interior of the dose release member 790, an axial gap being formedbetween the proximal end 763 of the actuation rod and an inner actuationsurface of the dose release member.

The electronic circuitry 765 comprises electronic components includingprocessor means, sensors, an axial switch, e.g. a dome switch actuatedby an axial force exerted on the actuation rod portion 762, wirelesstransmitter/receiver means and an energy source. More specifically, inthe shown embodiment the electronic circuitry 765 comprises a layeredconstruction comprising, from the distal end, a first PCB 766 on which anumber of sensor components, e.g. magnetometers 766M, are arranged, apair of battery connector discs 767 for a pair of coin cells, a secondPCB 768 on which the majority of the electronic components are mounted(e.g. processor, transmitter/receiver and memory), and an upper disc 769with a slot allowing the actuation rod portion 762 to be received, thefive members being interconnected by flexible ribbon connectors.

The sensors comprise a number of magnetometers adapted to measure amagnetic field generated by the pen magnet 660M, this allowingrotational movement of the pen reset tube and thus the size of anexpelled dose to be determined, see e.g. WO 2014/0161952. Further sensormeans may be provided allowing the type of the device to be recognized,e.g. a light emitter and a colour sensor adapted to determine the colourof the pen release member, the colour serving as an identifier for thedrug type contained in the prefilled pen device. The colour sensor andlight emitter may operate with visible (to the human eye) light or lightfully or partly outside the visible spectrum. The processor means may bein the form of a generic microprocessor or an ASIC, non-volatile programmemory such as a ROM providing storage for embedded program code,writable memory such as flash memory and/or RAM for data, and acontroller for the transmitter/receiver.

In a situation of use with the add-on device 700 mounted on the pen drugdelivery device 600, the user starts setting a desired dose by rotatingthe dose setting member 711 (i.e. the add-on dose setting member) andwith that also the dose release member 790. During dose setting the doserelease member is biased towards its initial proximal position wherebyit is rotationally locked to the inner assembly 780 via the lockingsplines 786, 796, this allowing the rotational movement of the add-ondose setting member to be transferred to the inner housing 761 and thusthe pen dose setting member 680.

When a dose has been set the user will actuate the dose release member790 by moving it distally against the force of the first bias spring718. During the initial release movement the locking splines 786, 796will disengage, this rotationally de-coupling the inner assembly 780with the electronics from the dose release member 790 and thus from theadd-on dose setting member 711. During the further release movement thedose release member 790 engages the actuation rod proximal end 763 (seeFIG. 8 A) whereby the sensor assembly 760 during the further releasemovement will be moved distally towards the pen release member 690 andsubsequently into contact with the pen release member (see FIG. 8 B).The engaging surfaces of the actuation rod 762 and the add-on doserelease member 790 are optimized for minimal transfer of rotationalmovement. Finally, further distal movement of the add-on release member790 will result in actuation of the pen release member 690 (see FIG. 8 Cin which the reset tube outer teeth 661 has been moved distally) andthereby expelling of the set dose (see FIG. 8 D), the sensor assembly760 thereby serving as an actuator.

In order to determine the size of an expelled dose the amount ofrotation of the magnet 660M and thus the reset tube 660 is determined.More specifically, initial movement of the sensor assembly will activatea sensor switch 769 which in turn will activate the sensor electronics765 and start sampling of data from the magnetometers, this allowing arotational start position of the magnet 660M to be determined prior torelease of the expelling mechanism. During this period also the colourof the pen release member and thus the type of drug contained in thecartridge may be determined. As the reset tube 660 may rotate more than360 degrees during expelling of a dose of drug, rotational movementduring expelling will be detected and the number of full rotations (ifany) determined. When it is detected that rotation of the reset tube hasstopped, e.g. when a set dose has been fully expelled or when out-dosingis paused by the user, a rotational end position will be determined,this allowing the size of an expelled dose to be determined.Alternatively, the rotational end position may be determined when thesensor switch detects that the sensor assembly 760 has returned to itsinitial position.

As appears, due to the rotational un-coupling of the inner assembly 760from the outer assembly 780 during drug expelling, it is prevented to ahigh degree that movements of the outer parts of the add-on device willnegatively influence the precise determination of rotational movementand rotational positions of the reset tube 660.

Having described the mechanical concept and working principle of theadd-on dose logging devices of FIGS. 5 and 7A, the sensor and tracersystem per se will be described in greater detail. Basically, the sensorand tracer system comprises a moving magnetic tracer component and asensor system comprising one or magnetometers, e.g. 3D compass sensors.

In an exemplary embodiment the magnetic tracer component is in the formof a multi-pole magnet having four poles, i.e. a quadrupole magnet. InFIG. 9 four dipole standard magnets 661 have been arranged equidistantlyin a ring-formed tracer component 660M, the four separate dipole magnetsproviding a combined quadrupole magnet with the four poles offset by 90degrees. Indeed, each of the dipole magnets are formed by a very largenumber of individual magnetic particles oriented in the same direction.The individual magnets may be arranged in the same plane or may beaxially offset from each other.

Alternatively, a multi-pole magnet 660M can be created by magnetizationof a magnetisable material either by use of individual powerful magnets(FIG. 10A) or through use of electromagnetic fields (FIG. 10B).

A given sensor system may be using e.g. 4, 5, 6 or 8 magnetometers 766Marranged relative to a tracer component 660M as illustrated in FIG. 11.The sensors may be arranged in the same plane, e.g. as shown in FIG. 7B,or they may be axially offset from each other. The more sensors, thesmaller spacing between the sensors and thus more data with a bettersignal-to-noise ratio can be gathered. However, the more sensors, themore data processing is required and the more power is consumed.

In some cases, not only disturbances from external fields need to behandled. The torque-providing spring for driving the dose expellingmotor in the disposable device as described above may be magnetized whensubjected to an external magnetic field and thus provide an internaldisturbing magnetic field.

Where external disturbances may be cancelled out to a large extent bysignal processing algorithms, because they influence all the sensorsmore or less equally and in the same direction, a magnetized torquespring will influence the sensors much like the tracer magnet andtherefore be more likely to offset the measurements and cause errors.

However, as it can be seen from FIGS. 12A and 12B the use of aquadrupole tracer magnet instead of a dipole tracer magnet,significantly reduce the error in determining the position of the tracermagnet.

More specifically, FIGS. 12A and 12B show simulations of the influenceof a magnetized torque spring at four different levels of magnetization(TS1-TS4) for both dose-setting (DS) and out-dosing (D). FIG. 12Aillustrates the calculated angle measuring error (i.e. the differencebetween the calculated angle and the true angle) for a dipole tracermagnet in combination with a 4 sensors set-up, and FIG. 12B illustratesthe calculated angle measuring error for a quadrupole tracer magnet incombination with an 8 sensors set-up. Due to the sensors being closer tothe tracer magnet during out-dosing (see e.g. FIGS. 8A and 8C) the angleerror is slightly smaller during out-dosing. This said, in theabove-described embodiment sensor measurements take place only duringout-dosing. For the quadrupole tracer magnet 8 sensors were used as thesmaller circumferential spacing between the individual poles in thequadrupole tracer magnet provides a higher input rate to the sensorsystem which can be more precisely captured by 8 instead of 4 sensors,however, comparable results would be expected for a quadrupole tracermagnet in combination with a 4 sensors set-up. As appears, use of aquadrupole tracer magnet reduces the angle error from ca. 4-8 degrees toca. 0.5-1 degrees, roughly a factor of 8.

In the shown FlexTouch® drug delivery device the reset tube 660 and thusthe tracer magnet 660M rotates 7.5 degrees for each unit of insulinexpelled. Thus, a possible angle error in the 4-8 degrees range mayresult in an incorrect determination of the expelled dose amount.

The quadrupole tracer magnet is thus not only reducing the systemssensitivity to disturbances from external fields, but also from internalfields. This is an important aspect of using a multipole tracer magnet,since traditional magnetic shielding of external sources by use of aniron-containing metallic sheet may be used to reduce the influence ofexternal fields, but may not be possible to fit between the tracermagnet and an internal disturbing magnetic field. Further, incorporatinga magnetic shield would take up space and introduce additional costs.

Alternatively, this may be mitigated by using a spring of anon-magnetisable material, however, current spring-driven pens on themarket today comprise a magnetisable torque spring and replacement maynot be feasible due to other requirements of the spring.

Having described the structural set-up for a sensor assemblyincorporating a rotating quadrupole tracer magnet, in the following anexemplary method of determining actual movements for such an assemblywill be described.

The signal from the quadrupole magnet is periodic with a period two overone full revolution of the magnet. This can be seen from FIG. 13 wherethe tangential, radial and axial field level is pictured.

Mapping the frequency components of the signal, it is seen that all mostthe entire signal from the magnet fits into the frequency two signal,see FIG. 14.

To determine a dose size utilizing at the quadrupole field, it isnecessary to determine the static start and end angle of the quadrupolemagnet. Since the magnet is static before and after the dose has beendelivered, the field is sampled over space instead of sampled over time.In an exemplary embodiment a measurement system is configured with N=7sensors with circular layout and equal spacing, see FIG. 15 showingsensor 766M placements relative to the quadrupole magnet 660M.

In order to determine the orientation or the magnet, a discrete Fouriertransform (DFT) is computed on the field measured in the sensors

${\hat{B}}_{jn} = {\frac{2}{N}{\sum\limits_{k = 1}^{N}{B_{jk}{{\exp( {{- 2}\;\pi\;{{ikn}/N}} )}.}}}}$

Here B_(jk) is the field in the j'th channel of the k'th sensor, j=1 istangential field, j=2 is radial, and j=3 is axial, i=√{square root over(−1)} is the imaginary unit, and {circumflex over (B)}_(jn) is the n'thfrequency component of the signal in the j'th channel.

As described above, the signal from the quadrupole magnet is a periodn=2 signal, and therefore we can determine the orientation of the magnetrelative to the sensor board by looking at the phase of {circumflex over(B)}_(j2),φ_(j)=atan 2[Im({circumflex over (B)} _(j2)),Re({circumflex over (B)}_(j2))]/2.

Because the samples of sines and cosines at different frequencies areorthogonal, any disturbance to the signal that is, e.g., period n=0, 1or 3, will be filtered out by the Fourier transform.

This relates to both external as internal disturbances. An internalcomponent in an auto-dose pen-injector is the metal torsion spring todrive the dosing mechanism. In the case of this being magnetized, thespring field will primarily look like a period 1 signal at the sensorsposition. External disturbances like a dipole magnet in the vicinity ofthe sensors will also tend to have a signal with period 0 or 1. Usingthe DFT, it is possible to filter out the disturbances from otherfrequencies and only determining the magnet orientation from thefrequency 2 signal.

The combination of a quadrupole magnet and the DFT is therefore superiorcompared to a dipole magnet whose period 1 signal is similar to thefrequency of common disturbances.

Using a DFT based algorithm gives a larger freedom to choose anarbitrary number of sensors, compared to a lookup based algorithm. Thechosen number of sensors is preferably at least 5 due to the Nyquistsampling theorem. Besides that the number of sensors can be freely andactively used in order to filter out specific frequencies of the signalto prevent aliasing effects. Use of 3-axis “compass” magnetometers allowradial, tangential, and axial signals to be measured, however, analysishas shown that the radial field component is most sensitive tomechanical eccentricity and tilt (out of plane angle between magnet andsensors), or it could be said the symmetrical sensor arrangement is notas efficient at the eliminating the impact of those mechanicalmisalignments for the radial field signal as for the two others.Correspondingly, in an exemplary embodiment the radial field is notmeasured and only tangential and axial field values are utilized.

Because the tangential and axial signals are just different vectorcomponents of the same magnetic field lines, they are strongly related:The tangential signal is precisely 90 degrees out of phase with theaxial signal. The phase angle can be calculated individually from thetangential and axial signal, and the 90.0 degrees phase correction canbe made to the result from the tangential signal. The two values must beapproximately equal.

If they are not entirely equal it may be due to small magneticdisturbances from the electronic components in the device, or fromsensor inaccuracy. Exemplary sensors used have up to +/−10% error. Tosuppress noise the average of the two angle measurements from on axialand tangential field can be used.

However, if there is a “large” difference between the phase anglecomputed from the tangential and axial field signal, it is a sign thatthe magnetic disturbance is large, e.g., from atelephone/headphone/magnetic finger ring very close to or forced againstthe memory device.

Thus the difference between phase angle from tangential and axial signalcan be used as a quality indicator. For example, for a given exemplaryembodiment up to around 4 degrees can be expected due to tolerances onthe mechanical and electrical system, however, if the difference exceeds5 degrees it can be taken as a sign that there is a large disturbanceand the measurement is unreliable, and then it may be decided toindicate a fail event and not report a dose measurement, but only that adose was taken at a given time point.

In the above disclosure the issue of both external disturbing magnetfields as well as an internal disturbing magnet field from the pendevice torque spring have been addressed by the use of a quadrupoletracer magnet in combination with a sensor array comprising a number ofmagnetometers. In the following this issue is addressed by a differentapproach which may be used as an alternative or in addition to theabove-described quadrupole design.

Using magnetic shields to shield magnetic systems from outsideinterference is commonly known and used. Normally shields are used as abarrier to either contain magnetic fields and prevent them frominfluencing other systems, or as a barrier to contain a system andshield it from being influenced by outside (unshielded) magnetic fields.Internal components of the system, that may introduce disturbing fields,are normally placed outside the shielded volume of the system. Indeed,it may be possible to incorporate a shield in a drug delivery devicecomprising a drive spring manufactured from a magnetisable material,however, as this may require a major redesign of the pen device this maynot be a cost-effective option.

The technical problem to be solved, is thus to provide a magnetic shieldpreventing/reducing internal magnetic fields from disturbing themeasurements of the magnetic sensors in a capturing device or assemblybased on magnetometers. Additionally, such a shield may also serve toprevent/reduce the disturbances from “normal” external magnetic fields.

The suggested solution is to introduce a shield of mu-metal, to not onlyshield the sensor system from external magnetic fields, but also divertany unintended internal magnetic field introduced by the torque springtowards the shield and reduce the disturbance of the field of the tracermagnets. By reducing the strength of the disturbing field from thetorque spring it may enable the use of fewer sensors and thus lowersignal processing requirements to obtain required accuracy andredundancy, and thereby reduce both costs and power consumption.

Mu-metal is a nickel-iron soft magnetic alloy with very highpermeability. It has several compositions, with approximately 80%nickel, 15% a few percent molybdenum and in some compositions a littlecopper and chromium. Mu-metal is very ductile and workable and caneasily be formed into thin sheets needed for magnetic shields. However,mu-metal objects require heat treatment after they are worked into theirfinal form.

Magnetic shields made with mu-metal works by providing a path for themagnetic lines around the shielded area instead of blocking them. Themu-metal sort of offers an “easier” path than thought the air with muchlower relative permeability and thus diverts the magnetic field.However, mu-metal has a much lower saturation level and are thus notsuitable for shielding against stronger magnetic fields.

FIG. 16 shows an assembly essentially corresponding to the assemblyshown in FIG. 8A albeit with the drug delivery device torque spring 655shown, the add-on dose logging device 800 being provided with acylindrical shield 820 made of mu-metal covering the axial length of thesensors and tracer magnet volume, as well as the proximal part of thetorque spring 655. The cylindrical mu-metal shield essentially absorbsthe magnetic lines from a torque spring having been magnetized andguides them towards the circumferential shield and thereby limits theextent of the disturbing field of the torque spring in axial directionand thus towards the sensors. At the same time the cylindrical shieldhelps reduce the influence of external magnetic fields EMF on the sensorelectronics arranged in the interior of the cylindrical volume.

Although the cylindrical mu-metal shield 820 principally will alsoabsorb magnetic lines from the tracer magnet 660M, this will influencethe measuring performance to a smaller degree as (i) the torque spring655 is axially arranged farther away from the magnetic sensors 866M thanthe tracer magnet, and (ii) the torque spring is arranged radiallycloser to the shield than the tracer magnet. In this way the sensorsystem will be able to measure the magnetic field from the tracer magnetas only a smaller portion of the field is absorbed by the shield,whereas the above-described geometrical properties will allow a magneticfield from the torque spring to be absorbed by the shield to a highdegree and thus influence the sensors to a smaller extent.

FIG. 17 shows an embodiment of an add-on dose logging device 900 inwhich an outer shield of steel 921, able to handle stronger magneticfields without saturation, is applied to provide a path for externalmagnetic fields. An inner shield 922 in mu-metal is arranged to providea path for a relative weak internal magnetic field introduced by thetorque spring, without being saturated by a strong external field.

In the above description of exemplary embodiments, the differentstructures and means providing the described functionality for thedifferent components have been described to a degree to which theconcept of the present invention will be apparent to the skilled reader.The detailed construction and specification for the different componentsare considered the object of a normal design procedure performed by theskilled person along the lines set out in the present specification.

The invention claimed is:
 1. A dose detection system comprising: amedication delivery device having a magnetic ring fixedly coupled to adosing member and rotatable during dose setting and dose dispensing; andan electronics assembly comprising a processor and a plurality ofmagnetic sensors operably coupled to the processor, the magnetic sensorsbeing arranged in an overlapping position relative to an outercircumference of the magnetic ring, wherein: the magnetic sensors aresecurely fixed relative to the processor, the magnetic sensors arerotatably locked to the magnetic ring during dose setting, therebyrotating therewith, the magnetic sensors are disposed equi-angularlyrelative to one another to define a ring pattern, in dose dispensing themagnetic sensors are distally moved closer to the magnetic ring, themagnetic ring rotating relative to the non-rotating magnetic sensors,the magnetic sensors detect rotational movement of the magnetic ring inorder to generate position signals, and the processor is configured toreceive the position signals in order to determine data indicative of anamount of dose dispensed based on the position signal.
 2. The dosedetection system as in claim 1, wherein the medication delivery devicefurther comprises: drug expelling structure comprising a rotatable dosesetting member allowing a user to set a dose amount of drug to beexpelled, the electronics assembly being adapted to engage the dosesetting member allowing a user to set a dose amount of drug to beexpelled via the electronics assembly.
 3. The dose detection system asin claim 1, wherein the magnetic sensors are arranged in a planeperpendicular to the rotational axis of the magnetic ring.
 4. The dosedetection system as in claim 1, wherein the magnetic sensors arearranged with circularly equal spacing.
 5. The dose detection system asin claim 1, comprising 4, 5, 6, 7 or 8 magnetic sensors arranged in acircular pattern.
 6. The dose detection system as in claim 1, whereinthe magnetic sensors are arranged distally in the electronics assemblyfacing the magnetic ring in a mounted position.
 7. The dose detectionsystem as in claim 1, wherein the rotational position and/or arotational movement of the magnetic ring is determined using a DFTalgorithm.
 8. An add-on device adapted to be releasably mounted on theproximal end of a drug delivery device, the drug delivery devicecomprising: a housing, an expelling mechanism adapted to expel auser-set amount of drug from a contained cartridge, an indicator elementcomprising a magnetic ring adapted to rotate relative to the housingduring dose setting and/or expelling of a dose amount, the amount ofmovement being indicative of the size of the set and/or expelled doseamount, the indicator element comprising at least one dipole magnet, theadd-on device comprising: a sensor system comprising: a plurality ofmagnetometers to determine magnetic field values from the at least onedipole magnet, and processor structure configured to determine, when theadd-on device is mounted on the drug delivery device, on the basis ofmeasured values from the plurality of magnetometers a rotationalposition and/or a rotational movement of an indicator element, therotational position and/or a rotational movement of the indicatorelement corresponding to a set and/or expelled dose amount, wherein themagnetometers are arranged in a circular ring pattern.
 9. The add-ondevice as in claim 8, wherein the drug delivery device furthercomprises: drug expelling structure comprising a rotatable dose settingmember allowing a user to set a dose amount of drug to be expelled, theadd-on device being adapted to engage the dose setting member allowing auser to set a dose amount of drug to be expelled via the add-on device.10. The add-on device as in claim 8, wherein the magnetometers arearranged in a plane perpendicular to the rotational axis of theindicator element.
 11. The add-on device as in claim 8, wherein themagnetometers are arranged with circularly equal spacing.
 12. The add-ondevice as in claim 8, comprising 4, 5, 6, 7 or 8 magnetometers arrangedin a circular pattern.
 13. The add-on device as in claim 8, wherein themagnetometers are arranged distally in the add-on device facing theindicator element in a mounted position.
 14. The add-on device as inclaim 8, wherein the rotational position and/or a rotational movement ofthe indicator element is determined using a DFT algorithm.